Service Representative Customer
Resume:
SARAH TEEGARDEN *** Walnut St Waynesboro, PA ***** 717-***-****
PROFESSIONAL PROFILE
Customer service oriented professional with healthcare industry experience. Accustomed to working in environments where accuracy and accountability are essential. Consistently models and inspires high levels of integrity. Follows policies, procedures and guidelines to assure consistent quality.
Possesses problem solving skills, based on facts and experience to assess issues and work towards solutions.
Data entry experience using 10-key number pad.
Team player who performs at high levels of productivity in fast-paced environments without missing a deadline.
Microsoft Office Applications – Word, PowerPoint, and Excel.
Oracle Cloud for Healthcare Cisco EMR Typing Speed: 50 WPM.
KEY QUALIFICATIONS
Basic Coding Skills for ICD / CPT Third Party Medicare Medicaid HMO PPO CMS1500 Claim Form
Billing Cycle Claims Appeal Process Medical Administrative Assistant Medical Terminology Patient Processing
Patient Registration Medical Laws & Ethics Greenway Prime Suite EHR HIPAA Compliance
Medical Transcription Office Accounting Anatomy & Physiology ICD-10 Medical Records Management
EDUCATION
Ultimate Medical Academy Associate of Science Degree / Health Sciences – Medical Administrative Assistant, 2020
Hagerstown Community College Phlebotomy, 2014
Ashworth College Associate Degree – Criminal Justice, 2007
RELEVANT PROFESSIONAL EXPERIENCE
Hearthstone Retirement Home – Waynesboro, PA 03/2015 – 07/2015
Resident Care Provider
Documented resident conditions on paper and remained knowledgeable on the best methods of care for the elderly.
Exhibited sensitivity and warmth and promoted a concern for the rights of residents.
Mediated conflicts and monitored and documented resident behavioral activity and prescription intake.
Provided high level of customer service to patient by using positive communication techniques.
ADDITIONAL EXPERIENCE
Highmark Inc – WFH 04/2021 – 06/2022
Customer Service Representative
Verify insurance benefits with members
Investigate claims that have processed or need to be processed
Assist members with spending account information
Find providers or facilities for members when needed
Assist with finding in network providers that meet their medical needs
Prime Therapeutics – WFH 05/2020 – 02/2021
Member Services Specialist
Answer phone calls, chat messages, and emails
Assist members with getting medications covered by their insurance plans
Advise members of their copays and benefits under their prescription plan
Assist pharmacies to run prescriptions or complete overrides
Document each member’s account with specifics of each problem and outcome of each call
Fax forms to physicians to complete for prior authorizations
OXO – Chambersburg, PA 08/2019 – 03/2020
Customer Service Representative
Check to ensure that appropriate changes are made to resolve customers' problems.
Confer with customers by telephone and in person to provide information, take and enter orders, cancel accounts, and obtain details of complaints.
Contact customers to respond to inquiries or to notify them of claim investigation results and adjustments.
Keep records of customer interactions and transactions.
Resolve customers' service and billing complaints.
LiveOps – Waynesboro, PA 08/2015 – Present
Customer Service Representative
Complete contract forms, prepare change of address records, and issue service discontinuance orders.
Interact with customers to provide information and resolve issues.
Document customer interactions and transactions.
Solicit sales of new or additional services or products.
Lowe's – Waynesboro, PA 10/2018 – 06/2019
Retail Sales Associate / Customer Service Representative
Answered questions regarding the store and its merchandise.
Completed request for special orders or contacted other stores to locate desired items.
Computed sales prices, totaled purchases and received and processed cash or credit payment.
Described merchandise and explained use, operation, and care of merchandise to customers.
Maintained inventory control through daily documentation and replenished orders.
Mediated and escalated customer service concerns to higher levels as needed.
Contact this candidate